Individual
DR. SHARDAN MARC RADMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5221 US ROUTE 60, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-1073
Mailing address
5221 US ROUTE 60, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31177
WV
2085R0202X
Diagnostic Radiology Physician
44326
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71001671
—
KY
Enumeration date
12/13/2008
Last updated
05/09/2022
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